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This is VAERS ID 263314

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263314
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-08-28
Onset:2006-08-29
Submitted:2006-09-19
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / -
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. C2557AA / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Pyrexia, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic rhinitis, RAD
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:On 8/29/06 pt woke up in am to rash on face and fever of 103. Rash not itchy. Treatment Tylenol or Motrin for fever. On 8/30/06 Pt continues with rash on face off and on and also fever continues. Temperature ranging 99.2 - . Also complains of headache.


Changed on 12/8/2009

VAERS ID: 263314 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-08-28
Onset:2006-08-29
Submitted:2006-09-19
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / -
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR C2557AA / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Headache, Pyrexia, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic rhinitis, RAD
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:On 8/29/06 pt woke up in am to rash on face and fever of 103. Rash not itchy. Treatment Tylenol or Motrin for fever. On 8/30/06 Pt continues with rash on face off and on and also fever continues. Temperature ranging 99.2 - . Also complains of headache.


Changed on 5/14/2017

VAERS ID: 263314 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-08-28
Onset:2006-08-29
Submitted:2006-09-19
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / -
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2557AA / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Pyrexia, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic rhinitis, RAD
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:On 8/29/06 pt woke up in am to rash on face and fever of 103. Rash not itchy. Treatment Tylenol or Motrin for fever. On 8/30/06 Pt continues with rash on face off and on and also fever continues. Temperature ranging 99.2 - . Also complains of headache.


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